Review Article

IgG4-Related Lymphadenopathy

Table 2

Distinction between IgG4-related disease and hyper-IL-6 syndromes.

 IgG4-related diseaseHyper-IL-6 syndromes

Serum immunoglobulinIgG↑(IgG4↑), IgE↑IgG↑(IgG1~IgG4↑), IgA↑, IgM -/↑, IgE↑
Serum IgG4/IgG ratioElevatedNormal (~sightly elevated)
Serum IL-6Normal (~sightly elevated)Elevated
Serum CRPNormal (~sightly elevated)Elevated
ThrombocytosisNoYes
AnemiaNoYes
HypoalbuminemiaNoYes
HypocholesterolemiaNoYes

Hyper IL-6 syndromes; multicentric Castleman’s disease, rheumatoid arthritis, and other immune-mediated conditions.